Evidence map›Paper›PMID 41571419›Full record

ArticleBMJ open2026

Emergency presentation of colorectal cancer in Africa: a scoping review.

Simbarashe Chinyowa, Grant Murewanhema, Leolin Katsidzira, Jennifer Moodley, Mike Chirenje, Godfrey Muguti

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Simbarashe ChinyowaSurgical Sciences, University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Harare, Zimbabwe drchinyowa@gmail.com.ORCID http://orcid.org/0000-0003-4121-5852
Grant MurewanhemaUniversity of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Harare Province, Zimbabwe.
Leolin KatsidziraUniversity of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Harare Province, Zimbabwe.ORCID http://orcid.org/0000-0003-4815-5207
Jennifer MoodleySchool of Public Health, University of Cape Town Faculty of Health Sciences, Cape Town, WC, South Africa.
Mike ChirenjeDepartment of Obstetrics, Gynaecology & Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, California, USA.
Godfrey MugutiSurgical Sciences, University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Harare, Zimbabwe.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis review identified and mapped the current evidence on emergency presentation of colorectal cancer in Africa.

designScoping review based on methodology by Arksey and O'Malley. DATA SOURCES: Medline (via PubMed), Embase and African Journals Online were searched between 29 January 2025 and 6 March 2025. ELIGIBILITY CRITERIA: Studies published in English and describing the burden, risk factors and management options for emergency presentation of colorectal cancer in Africa were included. Full-text articles of all epidemiological study designs were considered with no publication date limit. Grey literature such as conference abstracts and letters to the editor were considered if sufficient study detail was provided to map data to the research questions. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data from the included studies onto a standardised electronic form. Data were narratively synthesised using predefined themes.

resultsTwenty-seven studies are included in this review. There was wide variability in reported emergency presentation colorectal cancer rates (8.3% to 64.9%). There were few data on early mortality, and none on long-term outcomes following surgery for colorectal cancer. Emergency presentation of colorectal cancer was characterised clinically by bowel obstruction, bowel perforation and peritonitis. Only one study reported on risk factors for emergency presentation of colorectal cancer. Use of diagnostic modalities was variable and depended on resource availability. Surgery was the mainstay of treatment. Endoscopic stenting was only available as a treatment option in South Africa.

conclusionsEmergency presentation of colorectal cancer is a significant clinical, oncological and health system metric, yet there is a dearth of evidence on the subject in the African context. Available evidence demonstrates the need for more studies on emergency presentation of colorectal cancer, focused on risk factors, prevalence, treatment options and short-term and long-term outcomes.

Indexed as

Colorectal NeoplasmsEmergenciesAfricaHumansRisk FactorsAfrica South of the SaharaColorectal surgeryDisease ManagementEpidemiologyGastrointestinal tumoursRisk Factors

Identifiers

PMID41571419
PMCPMC12829401

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.